Ayşe AYYILDIZ, Ayşegül ÇINAROĞLU, Birgül YELKEN

COVID-19 HASTASINDA AKALKÜLÖZ AKUT PANKREATİT ; NADİR BİR OLGU SUNUMU

Dünya Sağlık Örgütü tarafindan pandemi olarak ilan edilen COVID-19 enfeksiyonu birincil olarak solunum sistemini etkiliyor gibi görünse de gastrointestinal system semptomlarının önemi ve tanınmasi giderek artmaktadir. Olgumuzda COVID-19 pnömonisi ile birlikte akut pankreatit bulgulari ile başvuran bir hastayı sunmayı amaçladik. Hipertansiyon ve koroner arter hastalığı olduğu bilinen 75 yaşinda kadın hasta, kuşak tipi epigastrik ağri, bulanti ve nefes darliği şikayeti ile acil servise başvurmuştur. Laboratuvar değerleri ve görüntüleme yöntemleri ile akut pankreatit tanısı konulan hasta, COVID-19 testinin pozitif çikmasi ve oksijen ihtiyaci nedeniyle yoğun bakima yatırılmıştır. Pankreatit için herhangi risk faktörü olmayan hastada COVID-19 enfeksiyonu ile korele pankreatit görülmüştür. Bu olgu, COVID-19'un yeni bir viral pankreatit etkeni olabileceği veya var olan bir pankreatitin şiddetini artirabileceği veya bunlardan bağimsiz olarak otoimmüniteyi tetikleyebileceği hipotezlerini düşündürmektedir. Bu görüşü desteklemek için COVID-19 hastalari üzerinde çok sayida çalişmaya ihtiyaç vardir.

Anahtar Kelimeler:

COVID-19, AKUT PANKREATİT, VİRAL PANKREATİT

ACALCULOUS ACUTE PANCREATITIS IN A COVID-19 PATIENT: A RARE CASE REPORT

Although COVID-19 infection, declared as a pandemic by the World Health Organization, seems to affect the primary respiratory system, the importance and recognition of gastrointestinal symptoms are gradually increasing. In our case, we aimed to present a patient who presented with signs of acute pancreatitis concurrent with COVID-19 infection. A 75-year-old female patient, known to have hypertension and coronary artery disease, was admitted to the emergency department with the complaint of generation-style epigastric pain , nausea and dyspnoea. The patient, who was diagnosed with acute pancreatitis by laboratory values and imaging methods, was taken to intensive care due to positive COVID-19 test and oxygen demand. Pancreatitis was seen with COVID-19 infection in the patient without risk factors for pancreatitis.This case suggests hypotheses that COVID-19 could be a new viral pancreatitis agent or increase the severity of an existing pancreatitis or trigger autoimmunity independent of them. numerous studies on covid-19 patients are needed to support this view.

Keywords:

COVID-19, ACUTE PANCREATITIS, VIRAL PANCREATITIS,

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